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MAI TAI NGUYEN M.D. NPI 1265692230


NPI Information

NPI: 1265692230
Provider Name: MAI TAI NGUYEN, M.D.
Classification: Internal Medicine - 207RH0003X
Entity Type: Organization

Specialization: Hematology & Oncology

Address:
411 MERRIMACK ST
SUITE 203
METHUEN, MA
ZIP 01844
Phone: (978) 686-9152
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MAI TAI NGUYEN, M.D. is a hematology and oncology internal medicine in Methuen, MA. The provider is an internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered. MAI TAI NGUYEN, M.D. NPI is 1265692230. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

411 MERRIMACK ST
SUITE 203
METHUEN, MA
ZIP 01844-821
Phone: (978) 686-9152

The provider's authorized official is Mai Tai Nguyen .
The authorized official title is Owner and has the following contact phone number (978) 686-9152.

The enumeration date for this NPI number is 6/13/2008 and was last updated on 6/13/2008.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207RH0003XInternal MedicineHematology & Oncology54685MASSACHUSETTSYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1D94110MEDICARE UPINMASSACHUSETTS
2J04744OTHERBLUE CROSS BLUE SHIELD
3J04744OTHERMEDICARE ID-TYPE UNSPECIFIED

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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